Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC KENNEBEC DRYDOCK FY 26
- Solicitation number
- 70Z08526QIBCT0042
About this file
This is a Past Performance Information Form template used to document an offeror's relevant work history and experience. The form requires offerors to provide detailed information about three past performance references, including the contract/order number, customer name and contact information, total dollar value, period of performance with any time extensions, and a description of work performed demonstrating relevance to the solicitation scope. Offerors must also identify any subcontractors utilized, describe their role, and provide annual subcontract dollar values.
The form is designed to be submitted in conjunction with the USCGC KENNEBEC DRYDOCK FY 26 solicitation (70Z08526QIBCT0042), a 100% Small Business Set-Aside Indefinite Delivery Requirement Contract issued by the U.S. Coast Guard. Interested small businesses must submit quotes via email to the designated Coast Guard contacts by 11:00 AM PST on March 13, 2026, with an anticipated award date of March 27, 2026. The contract period of performance runs from March 30, 2026 to June 8, 2026, supporting USCGC KENNEBEC homeported in Portsmouth, Virginia.
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Text version
Attachment 3
PAST PERFORMANCE INFORMATION FORM
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact (Full Name & Title):
Customer Telephone Number and E-mail address:
(PLEASE VERIFY):
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
To:
No. of Period of Performance Time Extensions:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
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